Adnexal Torsion

Under adnexal torsion means the twisting of the ovary and often the tube, thereby interrupting the arterial blood supply and ischemia can be caused.

An adnexal torsion is rare; it occurs mainly in the reproductive age and can usually involved an anomaly in the area of ??the ovary.

Under adnexal torsion means the twisting of the ovary and often the tube, thereby interrupting the arterial blood supply and ischemia can be caused. An adnexal torsion is rare; it occurs mainly in the reproductive age and can usually involved an anomaly in the area of ??the ovary. Risk factors include pregnancy trigger ovulation Ovarian enlargement of> 4 cm (particularly by benign tumors) Benign tumors cause more of a twist as malignant tumors. The twist normal adnexa is rare and is more common in children than in adults. Typically, an ovary is involved, but occasionally it comes to participation of the tubes. By adnexal torsion may cause peritonitis. Symptoms and signs A twist leads to the sudden onset of severe abdominal pain, often accompanied by nausea and vomiting. Women may have recurrent episodes of colicky pain, probably caused by an intermittent torsion with spontaneous solution days or sometimes weeks before the sudden onset of pain. Usually, pain on movement of the cervix (so-called. Portio shift pain), a single-sided pressure-sensitive resistance in the adnexal region and signs of Peritonealreizung present. Diagnostic Transvaginal color Doppler sonography adnexal torsion is based on typical symptoms (i. E. At times, severe pelvic pain) and unexplained peritoneal signs and suspected severe cervical motion tenderness or a Adnextumors. The pain may be unilateral. The diagnosis can usually be confirmed by transvaginal color Doppler sonography. Treatment Surgery to the rescue of the ovary In suspected or confirmed by ultrasound torsion is tried promptly by laparoscopy or laparotomy to save the ovaries and tubes by unwinding. A Salpingoovarektomie is required for non-viable or necrotic tissue. If an ovarian cyst or ovarian mass are present, and the ovary can be saved a cystectomy is performed. Otherwise, an oophorectomy is required.

Health Life Media Team

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